Midurethral sling outcomes: Tension-free vaginal tape versus Pelvilace

Stuart H. Shippey, Isabel C. Green, Lieschen H. Quiroz, Victoria L. Handa, Robert E. Gutman

Research output: Contribution to journalArticle

Abstract

We sought to compare the complications and efficacy of tension-free vaginal tape (TVT) and Pelvilace. Chart reviews and telephone questionnaires documented complications, urinary symptoms [Urogenital Distress Inventory short form (UDI-6) and Patient Global Impression of Improvement (PGII)], and re-operations. Failure was defined as PGII≥4 (no change or worse) or reoperation for urinary incontinence. There were 91 TVT and 22 Pelvilace slings. The TVT group had lower rates of urinary retention beyond 1 week (8% vs. 43%, p < 0.001) and reoperation for retention (1% vs. 19%, p < 0.001). Median changes in UDI-6 scores were -33.3 for the TVT group and -29.6 for the Pelvilace group (p = 0.21). Median PGII scores were 1 for the TVT group and 2 for the Pelvilace group (p = 0.024). Ten percent of the TVT group and 24% of the Pelvilace group (p = 0.095) were failures. Urinary retention was more common after Pelvilace than TVT slings. Symptomatic outcomes and failure rates were similar.

Original languageEnglish (US)
Pages (from-to)1199-1204
Number of pages6
JournalInternational Urogynecology Journal
Volume19
Issue number9
DOIs
StatePublished - Jan 1 2008

Keywords

  • Mid-urethral sling
  • Pelvilace
  • TVT

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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